A future where every journey is a safe one

Chiropractor Guidelines

As chiropractors, you play an important role in helping our clients recover from their transport accident injuries.

We can pay the reasonable costs of your patient’s chiropractic treatment, without prior approval, when it is required as a result of a transport accident injury. Patient consultations, travel, x-rays, exercise programs and equipment are also covered, with some restrictions.

As part of your patient’s treatment, you can complete certificates of capacity to assess and certify your patient’s capacity for work. For patients with a severe injury, the discussion, referral and approval of services may form part of the independence planning process.

If your patient's accident was prior to 14th February 2018 they may need to meet the medical excess before you can invoice the TAC for treatment.

Click on the tabs above for full details on our requirements and what we can and cannot pay for.

For more information on working with us, see: Chiropractor page and General guidelines.

This guideline should be read in conjunction with the general provider guideline: What do I need to know about working with the TAC?

Who can provide chiropractic services?

You can provide services if:

  • you are registered under the Health Practitioner Regulation National Law (e.g. AHPRA) to practice in the chiropractic profession (other than as a student).

What we can pay for

We can pay the reasonable costs of your patient’s chiropractic treatment, without prior approval, when it is required as a result of a transport accident injury.

Patient consultations

  • Chiropractic consultations, including lasers and dry needling techniques.
  • Out of rooms consultations – includes a travel fee for travel of less than 30 minutes.

Radiology

  • X-rays and radiological services provided by a licensed practitioner.

Travel

  • Travel, when the client is medically unfit to travel (included as part of out of rooms consultation above).

Travel time can be paid for travel to and from your practice address and your patient's residence. Where more than one patient is visited in a single travel period, total travel costs should be apportioned equally between patients.

Exercise programs

  • Supervised exercise programs.
  • Monitoring and evaluating gym/swim programs.

Equipment and orthoses

  • Equipment under $1,000. Our approval is required for equipment above $1000. Use the Equipment Prescription Form to submit written requests.

Other things to note

For accidents that occurred prior to 14th February 2018 a medical excess may apply. Visit the medical excess page to see if it applies to your patient.  If the medical excess applies you will need to invoice the client directly.

As part of your patient’s treatment, you can:

Patients with a severe injury

  • If your patient has a severe injury, the discussion, referral and approval of services may form part of the independence planning process between your patient's treating team and our TAC coordinator.
  • If your patient already has an individualised funding package, chiropractic services may be included as part of that.

How much we can pay

We pay for services in line with the chiropractic fee schedule.

What we cannot pay for

We cannot pay for:

  • Services that are included as part of a hospital inpatient bed fee.
  • Pool charges, such as pool hire and entry included in the hydrotherapy fee, aqua aerobics and swimming attire.

This Guideline relates to the following client policies


Chiropractic Services

Effective 1 July 2018

For Chiropractic services provided after 1 July 2018
Registered for GST
Service DescriptionTAC Item NumberMaximum
Payment
Rate
In Rooms
Initial ConsultationC600 $56.78
Standard ConsultationC602 $46.40
Out of Rooms
Initial ConsultationC608 $80.79
Standard ConsultationC610 $73.99
TAC Questionnaire
Pro Forma QuestionnaireQU0050*$50.43
General Radiological
Cervical Spine AP and Lateral - 2 viewsC1 $103.51
Cervical Spine 3 - 4 viewsC2 $155.32
Cervical Spine 5 - 6 viewsC3 $206.62
Thoracic Spine AP and LateralC4 $129.18
Thoracic Spine AP and 2 LateralsC5 $155.32
Lumbar Spine AP and Lateral - 2 views (with or without pelvis) C6 $129.18
Lumbo-Sacral Spine 3-4 views (with or without pelvis)C7 $225.85
Full SpineC17 $155.02
Pelvis - Postural (Pelvis or 1 postural view taken in isolation)C8 $65.21
Pelvis & Sacro-Iliac Joints - 3 viewsC9 $155.02
Lumbo-Sacral Spine 5 - 6 views (with or without pelvis)C10 $219.82
Sacrum & Coccyx 2 views (extremities Radiological Services)C11 $101.75
Scapula - 2 viewsC18 $103.51
Shoulder - 2 viewsC19 $103.51
Shoulder - 4 viewsC20 $155.32
Acromioclavicular JointsC21$103.51
Humerus - 2 viewsC22$103.51
Humerus - 2 views + JointsC23 $155.32
Elbow - 2 viewsC24 $103.51
Elbow - 4 viewsC25 $155.32
Radius & Ulna - 2 viewsC26 $103.51
Radius & Ulna - 2 views + JointC27 $155.32
Wrist - 2 ViewsC28 $103.51
Wrist - 4 ViewsC29 $155.32
Hand & Finger - 2 viewsC30 $103.51
Finger - 2 ViewsC31 $65.20
Hip - 2 ViewsC32 $103.51
Hip - 3 Views including PelvisC33 $155.32
Femur - 2 ViewsC34 $103.51
Femur - 2 Views + JointC35 $155.32
Knee - 2 ViewsC36 $103.51
Knee - 4 ViewsC37 $155.32
Tibia and Fibula - 2 ViewsC38 $103.51
Tibia and Fibula - 2 Views and JointC39 $155.32
Ankle - 2 ViewsC40 $103.51
Ankle - 4 ViewsC41 $155.32
Foot & Toes - 2 ViewsC42 $103.51
Toes - 2 ViewsC43 $65.20
Clavicle - 2 ViewsC44 $103.51
Chest - 2 viewsC50 $116.79
For Chiropractic services provided between 1 July 2017 and 30 June 2018
Registered for GST
Service DescriptionTAC Item NumberMaximum
Payment
Rate
In Rooms
Initial ConsultationC600 $55.57
Standard ConsultationC602 $45.41
Out of Rooms
Initial ConsultationC608 $79.07
Standard ConsultationC610 $72.41
TAC Questionnaire
Pro Forma QuestionnaireQU0050*$49.65
General Radiological
Cervical Spine AP and Lateral - 2 viewsC1 $101.30
Cervical Spine 3 - 4 viewsC2 $152.01
Cervical Spine 5 - 6 viewsC3 $202.21
Thoracic Spine AP and LateralC4 $126.42
Thoracic Spine AP and 2 LateralsC5 $152.01
Lumbar Spine AP and Lateral - 2 views (with or without pelvis) C6 $126.42
Lumbo-Sacral Spine 3-4 views (with or without pelvis)C7 $221.03
Full SpineC17 $151.71
Pelvis - Postural (Pelvis or 1 postural view taken in isolation)C8 $63.82
Pelvis & Sacro-Iliac Joints - 3 viewsC9 $151.71
Lumbo-Sacral Spine 5 - 6 views (with or without pelvis)C10 $215.13
Sacrum & Coccyx 2 views (extremities Radiological Services)C11 $99.58
Scapula - 2 viewsC18 $101.30
Shoulder - 2 viewsC19 $101.30
Shoulder - 4 viewsC20 $152.01
Acromioclavicular JointsC21$101.30
Humerus - 2 viewsC22$101.30 
Humerus - 2 views + JointsC23 $152.01
Elbow - 2 viewsC24 $101.30
Elbow - 4 viewsC25 $152.01
Radius & Ulna - 2 viewsC26 $101.30
Radius & Ulna - 2 views + JointC27 $152.01
Wrist - 2 ViewsC28 $101.30
Wrist - 4 ViewsC29 $152.01
Hand & Finger - 2 viewsC30 $101.30
Finger - 2 ViewsC31 $63.81
Hip - 2 ViewsC32 $101.30
Hip - 3 Views including PelvisC33 $152.01
Femur - 2 ViewsC34 $101.30
Femur - 2 Views + JointC35 $152.01
Knee - 2 ViewsC36 $101.30
Knee - 4 ViewsC37 $152.01
Tibia and Fibula - 2 ViewsC38 $101.30
Tibia and Fibula - 2 Views and JointC39 $152.01
Ankle - 2 ViewsC40 $101.30
Ankle - 4 ViewsC41 $152.01
Foot & Toes - 2 ViewsC42 $101.30
Toes - 2 ViewsC43 $63.81
Clavicle - 2 ViewsC44 $101.30
Chest - 2 viewsC50 $114.30
For Chiropractic services performed by a provider who is not registered for GST
Not Registered for GST
Service DescriptionTAC Item Number2018/19
Maximum
Payment
Rate

2017/18 
Maximum Payment

Rate

In Rooms
Initial Consultation   
Standard Consultation   
Out of Rooms
Initial Consultation   
Standard Consultation   
TAC Questionnaire
Pro Forma QuestionnaireQUGF50 $45.84$45.13
General Radiological
Cervical Spine AP and Lateral - 2 views   
Cervical Spine 3 - 4 views   
Cervical Spine 5 - 6 views   
Thoracic Spine AP and Lateral   
Thoracic Spine AP and 2 Laterals   
Lumbar Spine AP and Lateral - 2 views (with or without pelvis)    
Lumbo-Sacral Spine 3-4 views (with or without pelvis)   
Full Spine   
Pelvis - Postural (Pelvis or 1 postural view taken in isolation)   
Pelvis & Sacro-Iliac Joints - 3 views   
Lumbo-Sacral Spine 5 - 6 views (with or without pelvis)   
Sacrum & Coccyx 2 views (extremities Radiological Services)   
Scapula - 2 views   
Shoulder - 2 views   
Shoulder - 4 views   
Acromioclavicular Joints   
Humerus - 2 views   
Humerus - 2 views + Joints   
Elbow - 2 views   
Elbow - 4 views   
Radius & Ulna - 2 views   
Radius & Ulna - 2 views + Joint   
Wrist - 2 Views   
Wrist - 4 Views   
Hand & Finger - 2 views   
Finger - 2 Views   
Hip - 2 Views   
Hip - 3 Views including Pelvis   
Femur - 2 Views   
Femur - 2 Views + Joint   
Knee - 2 Views   
Knee - 4 Views   
Tibia and Fibula - 2 Views   
Tibia and Fibula - 2 Views and Joint   
Ankle - 2 Views   
Ankle - 4 Views   
Foot & Toes - 2 Views   
Toes - 2 Views   
Clavicle - 2 Views   
Chest - 2 views  

View Chiropractic treatment questionnaire

Chiropractic treatment questionnaire

Summary:

For chiropractic practitioners – use this form, when requested by us, to provide us with an overview of your patient's current status, including ongoing improvements and any barriers to recovery that may exist.

For help completing this form, see the separate notes document.

View Independence Plan - Information for providers

Independence Plan - Information for providers

Summary:

As medical and health providers, you play a critical role in helping your seriously injured client maximise their independence and achieve their goals. The Independence Plan documents the work done by you and other members of the treating team, and acts as a central reference point for everyone.

View Gym/Swim program: evaluation form (for Provider use only)

Gym/Swim program: evaluation form (for Provider use only)

Summary:

For allied health professionals – use this form, when requested by us, to report the progress of patients participating in gym, swimming and pilates programs funded by us as part of their rehabilitation.